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SUMMER DENTAL OKC
NPI 1215470497
Dentist - General Practice in Oklahoma City, OK

Active since November 21, 2016
7801 S WESTERN AVE STE 101, OKLAHOMA CITY, OK 73139(405) 691-3399(405) 256-1191 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2020, Jun 14, 2018, Nov 21, 2016 (3 updates tracked since 2016).

About Summer Dental Okc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMER DENTAL OKC (NPI 1215470497) is a healthcare organization registered as a general practice in Oklahoma City, Oklahoma and active in the NPI registry since November 2016. The organization lists Creed Louis Cardon, Owner, as its authorized official.

NPPES Registry Identity

NPI1215470497
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOKC 89TH DENTAL, PLLC
Location Address7801 S WESTERN AVE STE 101Oklahoma City, OK 73139-2411
Mailing Address400 Riverwalk Ter Ste 250Jenks, OK 74037-5619 · (918) 998-0996 · Fax (918) 235-9079
Phone(405) 691-3399
Fax(405) 256-1191
Organization SubpartNo
Authorized OfficialCreed Louis CardonOwner · (918) 998-0996
Enumeration DateNovember 21, 2016
Last NPPES UpdateAugust 12, 20203 updates tracked since enumeration
NPPES CertifiedAugust 12, 2020
✔ NPI 1215470497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
7801 S WESTERN AVE STE 101, Oklahoma City, OK 73139
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Other Names 1

Doing Business AsSummer Dental Okc

Other Identifiers 1

Medicaid200679550AOK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORION DENTAL
Dentist
7801 S WESTERN AVE STE 101
OKLAHOMA CITY, OK 73139
Cleveland County (405) 601-7911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Okc 89th Dental, PLLC's NPI number?

The NPI number for Okc 89th Dental, PLLC is 1215470497. It was assigned to this organization in the NPPES registry on November 21, 2016. The provider is doing business as Summer Dental Okc.

Where is Okc 89th Dental, PLLC located?

Okc 89th Dental, PLLC is located at 7801 S Western Ave Ste 101, Oklahoma City, OK 73139. The listed phone number is (405) 691-3399.

What is Okc 89th Dental, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Okc 89th Dental, PLLC was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.